Protective role of alpha-lipoic acid in chemotherapy-induced mucositis for colorectal cancer
Official title: Evaluation of the Protective Effect of Alpha-Lipoic Acid Against 5-Fluorouracil-Induced Oral Mucositis in Colorectal Cancer Patients
Run by Ain Shams University · NCT07736495 · Data updated 2026-11-12
This trial tests whether taking alpha-lipoic acid can reduce mouth sores caused by 5-FU chemotherapy in adults with colorectal cancer.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Ain Shams University Academic / other |
| Drugs / interventions | chemotherapy, methotrexate |
| Locations | 1 site (Cairo) |
| Status | Recruiting |
| Started | July 27, 2026 |
| Main results expected | December 27, 2026 |
| Study ends | December 29, 2026 |
| Registry record updated | July 30, 2026 |
| Trial ID | NCT07736495 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with newly diagnosed colorectal cancer who are chemotherapy-naïve and planned to receive FOLFOX-6 protocol as adjuvant, neoadjuvant, or palliative therapy.
✕Probably not a fit
Patients who have prior mucositis, cannot tolerate oral intake, or have conditions preventing participation may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a phase 2/3 interventional study evaluating alpha-lipoic acid 600 mg twice daily versus placebo in adults with newly diagnosed colorectal cancer who are planned to receive FOLFOX-6 as part of adjuvant, neoadjuvant, or palliative therapy. The study aims to see if ALA can lessen the incidence or severity of chemotherapy-induced oral mucositis by reducing oxidative stress and inflammation. Participants are randomized to ALA or placebo and followed for mucositis outcomes, safety, and treatment tolerance. Key eligibility includes adequate organ function and absence of prior ALA use or other antioxidants; exclusions include other primary cancers and inability to tolerate oral intake. The trial is led by Ain Shams University with sites at Nasser Institute for Research and Treatment in Cairo, Egypt.
Why it matters
Potential benefit: If successful, patients may experience fewer or milder mouth ulcers during chemotherapy, potentially improving oral intake and adherence to cancer treatment.
How similar studies have gone: Prior preclinical data suggest alpha-lipoic acid can protect mucosal tissue; clinical evidence in this exact setting is limited, making this trial a novel test in CRC patients receiving 5-FU.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age \>18 years. 2. Newly diagnosed chemotherapy naive CRC patients 3. Planned to receive FOLFOX-6 protocol as adjuvant, neoadjuvant or palliative therapy. 4. Adequate liver function (liver transaminases level \< 3 times upper normal limits and total bilirubin \< 1.5 times upper normal limits). 5. Adequate kidney function (estimated glomerular filtration rate \>60 ml/min). 6. Adequate bone marrow function (WBCs count \> 3000 cells/mm3, ANC count \>1500 cells/mm3 and platelets count \> 100,000 cells/mm3). Exclusion Criteria: 1. Presence of other primary cancers. 2. Treatment with ALA for any other indication. 3. Allergy to ALA. 4. Pregnant or lactating women. 5. Patients with previous mucositis for any reason. 6. Patients who cannot tolerate oral intake. 7. Patients receiving other dietary antioxidant supplements.
Where it's running
-
Nasser Institute for Research and Treatment.
Cairo, Egypt Recruiting
Study contacts
- Study coordinator: Ghada Ramadan Youssef
- Email: ghada.ms2425015@pharma.asu.edu.eg
- Phone: +20 01097001838
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.